Ch. 2 Part 2: Inflammation & Repair

diagnosis based on clinical observations

clinical

radiographs provide sufficient information for diagnosis

radiographic

using personal or family history

hx of lesion

medial history

historical

using laboratory tests

blood chemistries

laboratory diagnosis

of particular importance to diagnostic process

usually main component

microscopic

provides surgical intervention

surgical

using treatment modalities (meds/topicals) to help diagnose

therapeutic

narrowing down the final diagnosis using previous modalities

differential

What are typical manifestation of variant of normal?

bilateral symmetry

predictable locations

increased prominence with age

induced inadvertently by a dental care provider

iatrogenic injury

wrinkled

corrugated

cleft or groove

fissure

small fingerlike projections

knife edged

papillary

warty

verrucous

evaluation by feeling with the fingers

soft/firm/fluid filled/spongy

consistency

condition that is a variant of normal and characterized by general opalescence

more pronounced in smokers

less prominent when mucosa is stretched

leukoedema

epithelial lined

fluid-filled or not fluid-filled

cyst

most common on lower lip

mucocele

most commonly on floor of mouth

ranula

What does a peripheral giant cell granuloma resemble?

pyogenic granuloma

palatal mucosa covered with numerous erythematous papillary projections

“cobblestone appearance”

caused by removable maxillary full or partial denture or orthodontic appliance (denture stomatitis)

papillary hyperplasia

tissue response to effects of heat on palatal mucosa

raised red dots seen at openings of minor salivary glands on palatal surface

nicotine stomatitis

When left on epithelial tissues, aspirin can cause…

epithelial necrosis

removal of gingival tissue

gingivectomy

reshaping of gingiva

gingivoplasty

milder

duller pain

intermittent pain

chronic

abrupt onset

severe pain

short duration

acute

identify and remove the irritant

usually little clinical intervention needed

reversible

ends in pulp necrosis

tx is RCT or extraction

irreversible

What are the 3 possible scenarios of irreversible pulpitis?

periapical abscess

periapical granuloma

radicular (periapical) cyst

What is the most painful type of pulpitis?

periapical abscess

What types of pulpitis look very similar on a radiograph?

periapical granuloma and periapical cyst

excessive proliferation of inflamed dental pulp tissue that becomes visible clinically

occurs in teeth with large open caries

chronic hyperplastic pulpitis

What defines a true cyst?

it must be epithelial lined